Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Babak Mortazie, DO

Individual provider MOHS-Micrographic Surgery Physician · NPI 1457616914

Michael Babak Mortazie, DO is a Dermatology in Orange, California. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
CA
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1506 E Chapman Ave
Orange, CA 92866-2231
Phone: (714) 538-8556
Fax: (714) 538-1082
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 14600 (CA)

Record details

NPI number1457616914
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 11, 2012
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020
Mailing address2285 Corporate Cir, Ste 200, Henderson, NV 89074-7759

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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